articulatory dynamics of stuttering / kunnampallil gejo

Upload: kunnampallil-gejo-john

Post on 14-Apr-2018

243 views

Category:

Documents


3 download

TRANSCRIPT

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    1/80

    ARTICULATORY

    DYNAMICS OFSTUTTERING

    KUNNAMPALLIL

    GEJO, MASLP

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    2/80

    Persons who have fluency disorders can behandicapped as much more by theirreactions to their abnormal dysfluency thanthe dysfluency itself [Murray & Edwards,

    1980; Van Riper, 1984].

    Stuttering occurs when the forward flow ofspeech is interrupted by a motorically

    disrupted sound, syllable, or word, or by thespeakers reactions thereto [Van Riper,

    1982].

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    3/80

    Stuttering is the involuntary disruptionof a continuing attempt to produce aspoken utterance [Perkins, 1990].

    Moments of stuttering are accompaniedby abnormal physiological events thatintermittently influence the processes of

    respiration, phonation and/orarticulation [Denny & Smith, 1992].

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    4/80

    Among the varied views regarding the etiologyof stuttering, few of them consider stutteringas an articulatory disorder.

    The functioning of the articulators during themoments of stuttering has been studiedextensively through the use of EMG, X-ray

    motion pictures and measures of intra-oral airpressure and rate of air flow.

    Thevarious abnormalities observed are:- Defective synchronization of the action potentials

    of the paired musculature - such as the massetermuscles [Williams, 1955].

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    5/80

    A build up of muscular tension, reaching a peak nearthe termination of a block[Sheehan & Voas, 1954].

    Excessive muscular activity [Shapiro, 1980].

    Tremors [Van Riper, 1982].

    Prolonged articulatory postures on stop consonants

    [Hutchinson, 1975]. Lack of coordination between articulatory

    movements and onset of phonation [Hutchinson &Watkin, 1976].

    Abnormally rapid articulatory movements at themoment of release from a block [Hutchinson, 1976].

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    6/80

    ZIMMERMANS MODEL:

    Zimmerman (1980) suggested that stutteringshould be regarded as a disorder of movementand that principles of motoric behaviour bebrought to bear on the problem.

    At the level ofmotor neuron, a number of inputsfrom diverse sources are integrated and the sumof these inputs determine the background tonesand triggering threshold for coordinated

    structures. This was the first physiological principle that

    could be used to explain a number of diversestuttering phenomena that were explained earlyonly psychologically.KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    7/80

    The central commands for speech might exist asspatially coded targets, auditory targets or somehybrid.

    Whatever the representation of the code, thecommands must be executed to achieve the criticalspatial temporal relationship necessary for

    intelligible speech. The temporal and spatialcoordination of the articulators must be achievedthroughout a speech gesture and the fluentmovement patterns are dependent on such

    relationships. These must be accomplished by the proper

    neuromotor input via the cranial nerve nuclei andmotoneuron pools to proper muscles or musclesystem at the proper time.KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    8/80

    The movements involved in achieving these goals,the contacts made and the positions achieved

    results in stimulation of many intra-oral and peri-oral receptor sites.

    It is posited that when a person speaks, he usuallyoperates the respiratory, laryngeal and supra-

    laryngeal systems within certain ranges of variabilityi.e. he usually stayswithin certain limits in velocities,displacements, accelerations and inter-articulatoryspatial and temporal relationships.

    When these normal ranges are exceeded theafferent nerve impulses generated are presumed toincrease the gains at associated brainstem reflex

    pathways. KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    9/80

    If excitation reaches a threshold level, then theoscillation or tonic behaviors occur. Such reflex

    connections have been shown to disrupt theongoing pattern behavior byaltering afferent inputand changing muscle length and tension whichaffects the gains and phases of these pathways.

    If the velocity and displacement and the spatialrelationships remain below threshold levels of

    variability so as not to increase reflex affects,fluent production occurs, the stability & integrityof the system is maintained, the visual feedbackmechanisms are employed and the speech

    processes continue.KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    10/80

    Stuttering as a defect in thecoarticulatory timing[Van Riper]:

    Van Riper (1971) defined stuttering behavioras a word improperly patterned in time andthe speakers reaction thereto.

    Van Riper hypothesized that the stability ofmotor patterns which maintain the integrityof syllables is somehow lacking in stutterers

    due in part to over-reliance on auditoryfeedback for speech control instead ofappropriate monitoring via tactile, kinesthetic

    & proprioceptive feedback.KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    11/80

    In addition, stutterers are thought to bedeficient in their ability to time or

    integrate, long motor sequences.

    Such timing is said to involve the

    imposition of higher order integration toachieve the proper serial order of a largenumber of discrete motor sequences.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    12/80

    Stutterers are intermittently unable to achievesuch timing thereby producing sequences

    with inappropriate coarticulation. Van Riper also ruled out organic deficiencies

    in these speech related functions (underlying

    physiological difficulties). So he proposed that stuttering is the result of

    deficiencies in

    The stability of motor patterns for syllables.The ability to integrate a large number of

    discrete events in correct temporal order and

    speech related respiration, phonations &articulations.KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    13/80

    The combined result of these shortcomings is fractured syllables which is

    characterized by improper coarticulatorytransitions between sounds.

    For e.g. early stuttered repetitions of CVsyllables often contain the schwa vowelinstead of the target vowel (eg sa-sa-sop).

    In such repetitions, it appears that thestutterer is searching for the appropriate

    coarticulatory features for the sound(s) he isattempting to say.

    When the correct features are achieved, the

    stuttering is terminated.KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    14/80

    In other stuttering movements, precisetiming of transitional events between sounds

    is often lost due to breaks in airflow,excessive tension and inappropriatepostures.

    Agnello also said that the primary featureof stuttering is essentially within the

    articulatory transition from phone tophone.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    15/80

    Reason for this lack of transitions liessomewhere higher in the vocal tract

    resulting from articulatory constrictions,resulting in excessive supraglottal airpressure and causes phonatory difficulties.

    Van Ripers model of stuttering as a defectof co-articulatory timing is not concernedwith most of the linguistic determinants.

    This model only gave a defect in timingwhich may explain some of the problemsstutterers have in maintaining rhythmic

    repetitions of various speech and nons eech tasks.KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    16/80

    ARTICULATORY ERRORS:-

    It can be studied under 2 broadheadings.

    Temporal Errors:

    Longer phoneme durations

    Shorter phoneme durations

    Longer durations between articulatoryevents

    Inaccurate timing

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    17/80

    Spatial Errors:

    Spatially restricted movements Inappropriate articulatory placements

    Excessive articulatory movements

    Static positioning of articulators Forceful articulatory patterns

    Low velocities of articulators

    Reverse muscle movements

    Difficulty in stabilizing the articulatory

    movementsKUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    18/80

    TEMPORAL ERRORS:-

    Longer Phoneme Duration:

    Several studies have revealed increased phonemeduration in stutterers.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    19/80

    Authors Method Results

    Disimoni (1974) 6 stutttererswithin age rangeof 18 to 39.

    Stutterers hadsignificantlygreater absolute

    vowel and

    consonantdurations thannon stutterers.

    Montgomery & Cooke(1974) Studied part wordrepetitions in thespeech of adultstutterers using

    spectrography

    Results indicated alonger consonantduration in theinitial segment of

    the stutteredKUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    20/80

    Prosek &Runyan (1982)

    Measured duration

    of stressed vowels;extracted fromconnected speechusing spectrography

    Results indicate thatstuttering group spoke

    with more pauses andwith longer averagepause and vowelduration than non

    stutterers. For stutteringgrouptotal durationof stressed vowel =170.6msec and for non

    stuttering group- totalduration of stressed

    vowel = 144.1msec.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    21/80

    Kalveram & Jancke (1989) Studied vowelduration under

    DAF condition

    Longer vowelduration in

    stuttering groupreported.

    Revathi (1989) 2 normally non

    fluent and 2stutteringchildren usingspectrographic

    analysis forvowel duration

    Results indicated

    that stutteringgroup childrenhad significantlylonger vowel

    duration thannormal nonfluent group.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    22/80

    Shorter phoneme duration:

    A few authors have reported contradictingresults compared to the above quotedstudies.

    Reimann (1976) studied context

    dependence of vowel duration in Germanwords.

    Results: Stuttering group had shorter

    vowels than controls. Also, the stutteringgroup altered the vowel duration dependingon the consonant that followed (similar to

    normals).KUNNAMPALLIL GEJO JOHN,MASLP

    A i l

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    23/80

    Article:-

    Production of vowels by stuttering children and

    teenagers [Howell, Williams & Young,Journal of

    Fluency Disorders(1984)].

    Purpose: To analyze the acoustic properties ofvowels in childrens syllable repetition to

    establish whether there are differences between

    children and adults which might be indicative ofthe early characteristics and progress of thedisorder.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    24/80

    Method: Twenty four children and eightteenage stutterers; sample was recorded for

    10 min duration.

    From instances of syllable repetition..thosewhich started with voiced plosives and

    where final repetition included a part of thevowel, was chosen.

    Acoustic analysis of speech waveforms for

    Formant frequency, duration, and intensitywere carried out.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    25/80

    Results: No marked differences betweenthe formant frequency between the two

    groups was seen, indicating that both groupsposition the supra glottal articulators in anequivalent positioning in order to producethe intended vowel, whether spoken fluently

    or not. Durations of children's stuttered vowels are

    short in comparison with those of fluent

    vowels of teenagers. No difference inintensities for fluent vs dysfluent vowels inchildren; but in teenagers, fluent vowelswere higher in intensity than the dysfluent

    vowels. KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    26/80

    No Significant Differences:-

    A few authors have reported no significantdifference between stuttering group and

    non-stuttering group in phoneme duration.

    Klich & May (1982) studied vowels /i/, /a/,and /u/. They found no change inphoneme duration in different conditions in

    stutterers.KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    27/80

    Healy & Ramig (1986) studied fluency instuttering and non-stuttering group duringmultiple productions of two dissimilarspeech contexts using spectrography.

    Results: Duration measures for the stutteringgroup remained relatively stable duringmultiple repetitions of both short phrase andthe reading passage.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    28/80

    Longer duration between

    articulatory events

    It is the period of inactivity between two

    consecutive articulatory gestures. Adams et al (1975) and Healy (1976)

    reports longer duration betweenarticulatory events in stutterers.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    29/80

    Inaccurate timing

    Cooper & Allen (1977) studied speechtiming control accuracy of stuttering andnon-stuttering group during speech and

    non-speech activities.

    Results: In general, the stuttering group

    tended to be less accurate in their timingabilities than the control group.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    30/80

    Spatial Errors:

    The various spatial errors are:

    Spatially restricted movements

    Inappropriate articulatory placements

    Excessive articulatory movements

    Static positioning of articulators

    Forceful articulatory patterns

    Lower velocities of articulators

    Reverse muscle movements

    Difficulty in stabilizing the articulatory

    movementsKUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    31/80

    Spatially restricted movements

    It has been reported that the stutterers

    articulatory movements are spatially restrictedwith the velocity and the direction of movement

    altered.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    32/80

    Authors Method Results

    Zimmerman(1980a)

    Used high speedcinematography todescribe kinematics andspatial & temporal

    organization of theperceptually fluentspeech gestures for 7stutterers and 7 non-

    stutterers. He analyzedmovements of the lowerlip and jaw in cvc[/mam/, /pap/, /bab/].

    Even in perceptuallyfluent utterances,the organization ofevents necessary for

    speech productiondiffers betweengroups ofstutterers and non-

    stutterers.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    33/80

    Klich &May (1982) Studiedformant

    frequency andrate offormanttransitions of

    vowels in adultstutterers.

    Resultsrevealed

    temporally andspatiallyrestricted

    vowelproduction.

    KUNNAMPALLIL GEJO JOHN,MASLP

    Inappropriate articulatory

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    34/80

    Inappropriate articulatory

    placements

    Studies done by the following authors revealthat the articulatory movements in stutteringgroups are inappropriate.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    35/80

    Authors Method Results

    Zimmerman(1980a)

    Used high speedcineradiography todescribe kinematicsand spatial & temporal

    organization of theperceptually fluentspeech gestures for 6stutterers and 7 non-

    stutterers and analyzedmovements of lowerlip and jaw in CVC/mam/, /pap/,

    /bab/.

    Asymmetrybetween lip andjaw movementsleading to

    inappropriatearticulation.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    36/80

    Van Riper(1982)

    He studied stutteringas a temporal

    disruption of thesimultaneous andsuccessiveprogramming of

    muscular movementsrequired to produce aspeech sound or itslink to the nextsound in a word.

    Based onspectrographic

    andcineflurographicanalysis, hesuggested that

    during repetitions,highlyinappropriatearticulatorypostures maybe used; both in

    voiced and

    unvoiced sounds.KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    37/80

    Mohan Murthy (1988)

    [dissertation]

    Studied acoustic

    aerodynamicand laryngealcorrelates ofstuttering

    Spectrographic

    analysisindicatedarticulatoryfixations

    followed byinspiratoryfrication.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    38/80

    Excessive articulatory movements:

    Shapiro (1980) did an extensive study andmeasured EMG activity of orbicularis oris,superior longitudinal and intrinsic laryngealmuscles of fluent and dysfluent speech of

    stutterers.

    Results:

    Excessive muscle activity during production of

    fluent as well as non-fluent utterances. Inappropriate bursts of activity before and

    during periods of silence in both fluent anddysfluent utterance.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    39/80

    Lack of muscle coordination during periodsof blocks, whose normal function is

    reciprocal action.

    These findings strongly suggest thatstutterers while speaking, experience manymovements of disruption of normalcoordination.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    40/80

    Depending on the number of factorsincluding the nature, intensity, duration and

    timing of disruption, its effect may or maynot result in audible or perceptible stuttering.

    In some cases, disruption occurring at the

    onset of a word may simply result inA slight delay in word initiation or

    A pause, too brief to be identified as dysfluency

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    41/80

    In some other cases, the only result maybe a

    Shift in Fo,

    A voice breaking,Fry phonation, or

    Abnormally long onset time.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    42/80

    Static positioning of articulators:

    Authors Method Results

    Zimmerman (1980) Used high speedcineradiography

    Stutterersarticulatorsstay in staticposition

    during theproduction ofa phoneme.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    43/80

    Zimmerman &

    Pindzola (1987)

    Used high speedcineflurographic

    technique to recordarticulatorymovements duringfluent and

    dysfluent speechfrom 4 stutterersand controlutterances from 1

    normal speaker.

    Inter-articularpositions occurring

    in both perceptuallyfluent and dysfluentutterances ofstutterers were unlike

    those nonfluentutterances of anormal speaker.

    Abberant

    interarticulatorpositions precededrepetitivemovements and

    static posturing.KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    44/80

    Pindzola (1987 a) Reported thatstutterers spend

    longer time instatic articulatoryposition. In other

    words, the

    duration of steadystate formant wasfound to belonger instutterers.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    45/80

    Forceful articulatory patterns:

    Webster (1974) suggested that stutterers usearticulatory patterns that are too forceful and co-articulatory movements that are too rapid. Thetransitions are too short and hence their rate ofspeech is fast.

    KUNNAMPALLIL GEJO JOHN,MASLP

    L l i i f i l

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    46/80

    Lower velocities of articulators:

    Studies done by various authors Adams etal (1975), Healy et al (1976) andZimmerman (1980 a) have revealed lowervelocities of articulators in stutterers.

    Zimmerman (1980 a) used high speedcineradiography to describe the kinematicsand spatial and temporal organization of

    perceptually fluent utterances of 6 stutterersand 17 normal speakers.

    Results: lower peak velocities of articulators

    in stutterers.KUNNAMPALLIL GEJO JOHN,MASLP

    Article:-

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    47/80

    Correlation of stuttering severity and kinematics of lip

    closure

    (Michael, Mc Clean, Kroll; 1991)

    Stutterers and non-stutterers differ in orofacialmovements associated with perceptually fluent

    speech, however inconsistent results have beenobtained in this area.

    Presence of some evidence that parameters ofstutterers fluent speech are associated with

    stuttering severity encourages one to usecorrelation or regression analyses as approaches tounderstand anomalies in the movementcharacteristics of stutterers fluent speech.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    48/80

    Aim: To evaluate possible relationshipbetween stuttering severity and

    parameters of lip and jaw movementassociated with lip closure in fluentspeech.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    49/80

    Results: the parameters analyzed were velocity,duration & displacement.

    They noted the tendency for severestutterers to showLonger movement durations

    Reduced movement velocities

    Because the fluent utterances were judged,interpretation was that the more severestutterers achieved their fluency by executing

    motor compensations similar to thoseacquired during speech therapy. This mayhave involved adjustments in movementduration and/or velocity.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    50/80

    Reverse muscle movements:

    Guitar et al (1988) studied the details of muscleactivity of 2 muscles; depressor anguli oris

    [DAO] and depressor labii inferioris [LDI]. They examined lip muscle activity during the

    speech production of stutterers and normalfluent speakers.

    Actions of these muscles were recorded usingEMG.

    The words used were peck,and puck.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    51/80

    Results: EMG records indicated that non-stutterers activated DAO prior to DLI for the

    production of initial /p/ whereas, stutterersreversed the sequence of onset, particularly whenthey stuttered.

    These onset reversals in stutterers support the

    view of stuttering as a disorder of timing.

    As these reversed onsets are disruptions of thesuccession of DAO & DLI the release of the

    sound may be delayed until the DAO activity ispredominantly over DLI activity and hence itdepicts an error that leads to a delay in theproduction of the sound

    KUNNAMPALLIL GEJO JOHN,MASLP

    Difficulty in stabilizing the

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    52/80

    Difficulty in stabilizing thearticulatory movements:

    Jansen et al (1983) investigated thedifference between stutterers and normalspeakers in phonatory and articulatory

    timing during the initiation of fluentutterances of monosyllabic words. EMGrecordings of 4 articulatory muscles (glottal

    vibration recordings) were done. The subjects were 15 stutterers and 17

    normals.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    53/80

    Parameters analyzed were

    Average interval between voice onset and offset

    EMG activityOnset of EMG activity in each articulator

    Intra-subject variability of above measures

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    54/80

    Results: No significant difference betweenstuttering and non-stuttering in averageinterval times and in general stutterers weresignificantly more variable in their speechonset timing.

    From this study, it was interpreted thatstutterers may have difficulty in stabilizingthe articulatory movements and the act of

    speaking results in fluctuations in the speedof production of sounds and soundsequences.

    KUNNAMPALLIL GEJO JOHN,MASLP

    Rate and rhythm of voluntary

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    55/80

    y yarticulatory movements:

    A no of early studies investigated thestutterers ability to produce rapid speech

    or speech muscle movements(diadochokinesis) or rhythmic speechmovements (rhythmokinesis).

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    56/80

    Spriesterbach (1940) found no statisticallysignificant differences between stuttering

    and non-stuttering subjects in maximum rateof jaw opening, tongue protrusion, and lipclosure.

    Experimental subjects were slightly superiorin jaw and tongue movements but slightlyinferior in lip movements.

    Strother & Kriegman (1943) also foundstutterers DDK rates slightly higher for jaw

    openings, repeated /t/ productions (tongue

    tip to alveolar ridge), and lip closures.KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    57/80

    By contrast, Rickenberg (1956) found thatstutterers were significantly slower than

    controls in repeatedly uttering CV syllables(/pa, ba,ma,ta,da,na,ka,ga/).

    Rhythmic execution of jaw, tongue, and lipmovements was investigated by Blackburn(1931) and Seth (1934) {except for tongue

    movements}. Their studies showedsignificant differences for stutterers fromnormals.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    58/80

    Studies by Wulff (1935) and Strother &Kriegman (1944), however, found no

    significant differences between stutterersand non-stutterers on the task (utteringrepetitive /pataka/ sequences).

    Zaleski (1965) found stuttering childrendeviated significantly more from a prior

    metronomic stimulus than non-stutteringchildren.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    59/80

    Bloodstein (1944) and Johnson (1961)reported slower than normal reading rates in

    adult stutterers. Johnson & Rosen (1937) found that

    instructing stutterers to read faster than

    normal resulted in more stuttering, andslower than usual rate resulted in lessstuttering.

    Fransella (1965) also found that stutteringwas reduced when subjects were asked toreduce their reading rates.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    60/80

    Ingham, Martin & Khul (1974) assessed theeffects on stuttering in spontaneous speech

    of speaking in slower and faster rate thannormal in 3 adult stutterers.

    By means of a series of lights, subjects were

    given feedback every minute regarding howsuccessful they were in either speaking moreslowly or more rapidly than baseline rates.

    The procedures were effective in reducingspeech rate in all three subjects.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    61/80

    Zinkin (1968) studied cinefluroscopic filmsof the pharynx taken during stuttering and

    reported considerable lack of coordinationbetween pharyngeal movements that wererelatively fixed while other articulators

    moved. The converse was also observed; i.e., for

    e.g., static articulatory gestures were

    observed during periods of pharyngealmovement.

    KUNNAMPALLIL GEJO JOHN,MASLP

    Coarticulatory errors:

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    62/80

    Coarticulatory errors:

    A number of studies have focused uponcoarticulatory characteristics of stuttered speech.

    Coarticulation refers to the normal phenomenon

    during speech whereby the production of agiven sound is influenced by other sounds whichoccur before and after the sound in an utterance.

    Abnormal transitional movements were firstdescribed by Stromsta (1965).

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    63/80

    Abnormal formant transition:

    Presence of abnormal formant transitions has been

    indicated in several studies. Stromsta (1965) demonstrated that the

    spectrogram of stuttered speech revealed a lack ofusual falling or rising transitions seen in the

    spectrograms of normal speakers. The junctureformants were either different or absent.

    He also added that these children whose

    dysfluencies showed anomalies in Coarticulationfailed to outgrow their stuttering, and thosechildren whose spectrograms showed normaljuncture formants had become fluent in the ten

    years span since the original recordings were made.KUNNAMPALLIL GEJO JOHN,MASLP

    A h h d l

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    64/80

    Author Method Results

    Adams & Reiss(1971)

    Investigated thedifference in thefluency in thefrequency of

    dysfluencies ofvoiced andvoicelessphonemes instutterers.

    Stated that increasedstuttering is more likely tooccur during voiceless-

    voiced phonation

    transition than voiced-voiceless transitions. Theyhypothesized that if thelarynx was an importantsite in the breakdown offluency, then conditionsrequiring increased

    laryngeal adjustment wouldKUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    65/80

    Webster(1974)

    Comparedspectrograms of

    stutterers andnon-stutterers.

    Stutterers use rapidcoarticulatory movements.

    Montgomery& Cooke(1976)

    Analyzedperceptually andacoustically acarefully selectedset of part word

    repetitions fromthe speech ofadult stutterers.

    Spectrographic analysisrevealed that abnormalformant transitionscharacterized the initialsegment of the stuttered

    word and the remainder ofthe word was identical to itsfluently producedcounterpart.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    66/80

    From this they haveconcluded that if the

    articulatory breakdownwas confined to theinitial consonant to

    vowel, when present

    were due to deviantformation of consonantrather than to faultytransition dynamics.

    KUNNAMPALLIL GEJO JOHN,MASLP

    I i d h B h

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    67/80

    Manning & Cautal(1980)

    Investigated thedysfluenciesduring voiced-

    voiced, voiced-voiceless,voiceless-voiceless

    phoneme tophonemephonatorytransitions. Speech

    of 11 adultstutterers and amatched group ofnon-stutterers

    were studied.

    Both stutterersand non-stutterersgroupdemonstrated alower percentageof dysfluencies

    during voiced-voiced transitionsthan during

    voiced-voiceless,

    voiceless-voicelessphonatorytransitions.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    68/80

    Revathi (1989) Studied acoustictemporal

    parameters in thespeech of 2normally non-fluent and 2

    stutteringchildren.

    Spectrographicanalysis revealed

    that transitionduration of F2and speed oftransition of F1

    showed asignificantdifferencebetween

    stutterers andnon-stutterers.

    KUNNAMPALLIL GEJO JOHN,MASLP

    Other errors observed were:-

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    69/80

    Other errors observed were:-

    Lack of formant transition: The spectrogram ofsome dysfluent utterances were characterized byabsence of formant transition.

    This indicates stutterers are unable to transit ormove from one phoneme to another.

    Longer transition duration: The transition of F2was longer for dysfluent utterances than thecorresponding fluent utterances.

    This implies that the time lapse between the

    movement of articulator from one target toanother is long (which explains theprolongation).

    Shorter transition durations: Shorter time lapsebetween movements of articulators from onetarget to another (repetitions).KUNNAMPALLIL GEJO JOHN,MASLP

    Coordination Between Articulatory &

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    70/80

    yPhonatory Events

    Mis-coordination between articulatory andphonatory events in stutterers has been reportedby several investigators.

    Voice onset is a very useful measurement and itindicates the coordination of articulatory andphonatory system.

    Most of the studies under this section are basedon VOT.

    KUNNAMPALLIL GEJO JOHN,MASLP

    Longer VOT:

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    71/80

    Longer VOT:

    Longer VOT has been reported in bothperceptually dysfluent and fluent utterances ofstutterers.

    Studies comparing the VOTs of stutterers andnormals.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    72/80

    Author Method Subjects Results

    Agnello & Wingate(1972)

    Usedpressuresensor and

    voicerecorder;studied CVutterances

    Agematchedgroups of

    12 adultstutterers &12 normals.

    Stutterers,VOTs werelonger.

    KUNNAMPALLIL GEJO JOHN,MASLP

    Hill Gilb S A S

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    73/80

    Hillman & Gilbert(1977)

    Spectrographic analysis

    of CVstaken fromoral reading

    Agematched

    groups of10 adultstutterers &10 normals.

    Stutterers,VOTs were

    longer.(p

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    74/80

    Watson & Alfonso

    (1982)

    Spectrograp

    hic analysisof 3contiguous

    vowel +

    consonant +vowel +consonantsequences

    Age

    matchedgroups of 8adultstutterers &

    8 normals.

    No

    significantdifferencein VOTbetween

    groups.

    KUNNAMPALLIL GEJO JOHN,MASLP

    C di i f i l

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    75/80

    Coordination of articulatory,

    laryngeal & respiratory events

    Several authors have reported miscoordination ofarticulatory, laryngeal & respiratory events duringstuttering.

    Adams (1974) has offered a physiologic andaerodynamic analysis of stuttering and fluency.

    According to him, fluency is dependent onsmooth coordination of activities of therespiratory, phonatory, and articulatory system.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    76/80

    Because evidence of disrupted motor timing

    is found during stuttering (at all levels ofspeaking system) there is the possibility thatevents at each level could serve as a form ofdifficulty that triggers miscordination withthe other levels of the system.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    77/80

    Mohan Murthy (1988) studied acoustic,aerodynamic, and laryngeal correlates of

    stuttering. Measurements were carried out through

    spectrograph, electroaerometer, and

    electroglottograph.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    78/80

    Observations:-

    Inhalatory frications of varying durations Atypical CV & VC transition of vocal fold

    cycles

    Inappropriate timing of voicing

    He further commented that the dysfluencies

    seen during stuttering indicated severallaryngeal, aerodynamic & articulatoryabnormalities.

    KUNNAMPALLIL GEJO JOHN,MASLP

    Th ibili f l i i

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    79/80

    The possibility of oral motor trainingimproving fluency is compatible with the

    view that stuttering is the product of severalpoorly integrated and perhaps inadequatesubsystems of which the speech motor

    control is one Oral motor therapy is designed to improve

    the syllable production so that stuttering is

    undermined. Current evidences suggest thata significant subgroup of those stutterershave a vulnerable speech motor system priorto the onset of perceived stuttering.

    KUNNAMPALLIL GEJO JOHN,MASLP

  • 7/27/2019 ARTICULATORY DYNAMICS OF STUTTERING / KUNNAMPALLIL GEJO

    80/80